Trial reportBMJ open2016
Occupational Therapy in HomEcare Re-ablement Services (OTHERS): results of a feasibility randomised controlled trial.
Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Pooled it
- Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis.BMJ (Clinical research ed.) · 2024Pooled it
- An investigation of Reablement or restorative homecare interventions and outcome effects: A systematic review of randomised control trials.Health & social care in the community · 2022Pooled it
- Occupational therapy for adults with problems in activities of daily living after stroke.The Cochrane database of systematic reviews · 2017Pooled it
- Effectiveness of a reablement training program for homecare staff on older adults' sedentary behavior: A cluster randomized controlled trial.Journal of the American Geriatrics Society · 2021Trial
- Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial.International journal of environmental research and public health · 2019Trial
- Article
- Use of the adult social care outcomes toolkit (ASCOT) in research studies: an international scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Is the Morriston Occupational Therapy Outcome Measure (MOTOM) an appropriate tool for reablement services?The British journal of occupational therapy · 2024Article
- Publication Trends in Reablement - A Scoping Review.Journal of multidisciplinary healthcare · 2023Article
- Selecting from their toolbox of interventions - A realist study of the role of occupational therapists in reablement services.The British journal of occupational therapy · 2022Article
- Health, social care and technological interventions to improve functional ability of older adults living at home: An evidence and gap map.Campbell systematic reviews · 2021Article
- Reablement professionals' perspectives on client characteristics and factors associated with successful home-based reablement: a qualitative study.BMC health services research · 2021Article
- Article
- Feasibility of ABLE 1.0-a program aiming at enhancing the ability to perform activities of daily living in persons with chronic conditions.Pilot and feasibility studies · 2021Article
- Reablement through time and space: a scoping review of how the concept of 'reablement' for older people has been defined and operationalised.BMC geriatrics · 2021Article
- Promotion of Physical Activity Through Reablement for Older Adults: Exploring Healthcare Professionals' Clinical Reasoning.Journal of multidisciplinary healthcare · 2021Article
- Integration of Physical Activity in Reablement for Community Dwelling Older Adults: A Systematic Scoping Review.Journal of multidisciplinary healthcare · 2020Article
- Functional requirements of a mobile-based application for stroke self-management: A Delphi study.Healthcare technology lettersArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesThe objective of this study was to test the feasibility of conducting a randomised controlled trial (RCT) of an intervention targeted at activities of daily living (ADL), delivered by an occupational therapist, in homecare reablement.
designFeasibility parallel group RCT.
settingSingle-site local authority homecare reablement service.
participantsPeople referred for homecare reablement with ability to consent. Exclusion criteria were as follows: inability to speak English, receiving other community therapy services, needing two or more to assist transfer and receiving end-of-life care. CONTROL: 'Usual care' was 6 weeks of homecare reablement delivered by social care workers (no routine health professional input).
interventionA targeted ADL programme, delivered by an occupational therapist incorporating goal setting, teaching/practising techniques, equipment/adaptations and provision of advice/support. This was in addition to usual care. OUTCOME MEASURES: Aspects of feasibility including eligibility, recruitment, intervention delivery, attrition and suitability and sensitivity of outcome measures. Participant outcomes were personal and extended ADL, quality of life, falls and use of health and social care services.
results30 participants were recruited, 15 to each arm, which was 60% of those eligible. Data from 22 (73%) were analysed at 6 months. Of the 15 participants, 13 (86%) received the intervention and were able to set one or more ADL goals. There were improvements from baseline in both groups, although overall improvements were greater in the occupational therapy (OT) intervention group. The biggest threat to feasibility was a change in service configuration during the trial, involving additional occupational therapy input, affecting usual care and recruitment.
conclusionsDespite the service reconfiguration, it was feasible to recruit and retain participants, deliver the intervention and collect outcome data that were responsive to change. The choice of primary outcome measure remains unclear. A further powered study is feasible and warranted; however, the design will require careful consideration because of ongoing national changes in service configurations. TRIAL REGISTRATION NUMBER: ISRCTN21710246; Results.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.